AmandaAlldrin

I currently work at a wound care clinic, and we frequently have patients who have elevated blood pressure readings. (we take vitals for every pt we see during visit) Yesterday i had a patient with one reading 180/108! i am a brand new lvn, so when asking my coworker (also lvn, worked at the clinic 2 years) she went into the room and asked the pt if he felt dizzy or light headed? the pt said no, and my co worker just said OK. your free to go. and that was it! im thinking, dizzy and lightheadedness might be from hypotension and not hyper..... but this assessment didn't seem sufficient to me? working at a clinic, theres not much we can do besides inform the PCP im thinking, at what point would you send to er? or straight to dr office? what would you do? thanks! :) i feel like i have so much to learn still :/